Look up the most recent NPI and PECOS records

Jacqueline Marie Mcmahon

Registered Nurse

Nursing Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Jacqueline Marie Mcmahon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1881840965
Provider Type
Individual
Full Name
Mcmahon, Jacqueline Marie
Title
Ms.
Credential
RN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/8/2008
Last Updated
8/8/2008

Contact Information

Practice Location

137 Rockne Rd, Yonkers, NY 10701-5437

(914) 924-1792

Unlisted Fax

Mailing Location

137 Rockne Rd, Yonkers, NY 10701-5437

(914) 924-1792

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 31156 New York

Provider Identifiers

ID	Description	Issuer
ID 02698548	Description Medicaid	Issuer Unlisted New York

Jacqueline Marie Mcmahon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Soriano, Clara

Owusu-Ansah, Daniel

Hernandez, Enelisse

Johnson, Jeremy

Mattos, Danielle Helen

Boateng, Shirley

Carrasco, Connie

Woods, Alexandra

Udo, Nsini

Vallecera, Jemalyn T